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Visa Holders (H1 / L1 / O1)
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Please Note: All Fields are required to have an entry. Qty fields must have a number, text fields must have an answer.
To Complete Offline: Download As A PDF
Quick Quote: Visa Holders (H1/L1/O1) Checklist
Name:
Email:
Phone:
Current Address
Marital Status:
Single
Married
Separated
Divorced
Head of Household
Widow(er)
Number of Dependents
Tax Payer 2024 Visa Status?
When Did You Obtain Your Visa Status?
When Did You First Arrive In The US?
Dependents Legal Status
Do You Have ITIN Requirements
Stock Option Transactions:
None
1-10 Transaction
11-20 Transactions
21-50 Transactions
50+ Transactions
Options For Type Of Stocks:
None / Unsure
RSUs
ESPPs
ISOs
NSOs
Multiple
Number of W2s
Number of States
1099 - B
Form 1099 - INT
Form 1099 - DIV
1099 - MISC
1098 - T
1099 - G
1099 - R
1099 - SA
1099 - K
1095 - A
K-1
DONATIONS
1098 - MORTGAGE STATEMENT
1099 RENTALS - Number of Accounts
FBAR - Number of Accounts
FATCA - Number of Accounts
Did You Have Foreign Income in 2024?
Did you have health insurance in 2024?
Are you an exsiting Mudra client? If No, then please attach your 2023 tax return copy.
Copy Attached
Attach 2023 tax return copy here
Did You Purchase a Clean Vehicle in 2024? (Information from this report will be required to claim or reconcile a Clean Vehicle Credit on your income tax return for the year the vehicle was placed in service. See the sample below. Click the button " Sample - Form 15400" to download.)
Message: Any Additional Information?
Spouse and Dependent Details:
Provide copy of your Driver's License / Passport copy for identification
Upload File
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Click the button below to download the "Sample - Form 15400" for the Clean Vehicle Seller Report.
Sample Form 15400: Download As A PDF
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2880 Zanker Rd.
San Jose, CA 95134
408-625-7581
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